2025 CPT code 75561

Cardiac MRI for morphology and function without contrast, followed by contrast and further sequences.

Follow all applicable CPT coding guidelines and payer-specific guidelines when reporting this code. Only one procedure from the 75557-75563 series should be reported per session.Add-on codes (e.g., 75565) may be appropriate in some cases.

Modifiers 26 (professional component) and TC (technical component) may apply depending on who performs and interprets the MRI.Modifier 59 may be used if the service is distinct from other services furnished on the same day.

The ordering physician must document the clinical indications for the cardiac MRI (75561), such as chest pain, shortness of breath, suspected structural abnormality, and/or evaluation of known cardiac disease. The medical necessity should be clear and support the need for this advanced imaging technique.

Radiologist or other qualified healthcare professional performs and interprets the MRI images.Physician may order the test and be responsible for patient care surrounding the imaging.

IMPORTANT May be used with 75565 for velocity flow mapping.75557 (without contrast), 75559 (with stress imaging without contrast), 75563 (with stress imaging with and without contrast) are related codes.

In simple words: This test uses MRI to take detailed pictures of the heart to check how well it's working and to look for any problems with its structure.The test involves taking pictures both with and without a special dye (contrast) injected into the body.

Cardiac magnetic resonance imaging (MRI) to assess heart structure and function. The procedure begins without contrast material, followed by the administration of contrast material and additional sequences to obtain comprehensive images for evaluating morphology and function.

Example 1: A patient presents with chest pain and shortness of breath.A cardiac MRI with and without contrast (75561) is ordered to evaluate for myocardial infarction, cardiomyopathy, or other structural abnormalities., A patient with a history of congenital heart disease undergoes a cardiac MRI (75561) to assess valve function and detect any structural defects or shunts., A patient with suspected myocarditis undergoes a cardiac MRI (75561) to assess myocardial inflammation and function. The detailed images obtained help differentiate myocarditis from other conditions presenting similarly.

Patient history, clinical indication for the MRI, images obtained with and without contrast, interpretation report detailing findings and clinical correlation.

** Accurate coding requires detailed documentation of the procedure performed and any additional services rendered.Always refer to the most current CPT codebook and payer guidelines for accurate billing.

  • Payment Status: Active
  • Modifier TC rule: Modifier TC may be appended for the technical component, depending on the billing entity and payer regulations.Hospitals might be exempt from this modifier depending on payer policy.
  • Specialties:Cardiology, Radiology
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office
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